The need for a complete platysma component for platysma myocutaneous flaps?-an introduction of the expanded cutaneous-dominant platysma flap for facial defect reconstruction

Chen, Wen; Li, Yangqun; Wang, Nai‐Li

doi:10.1016/j.bjps.2010.03.011

Cited by 10 publications

(6 citation statements)

References 13 publications

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“…Due to the flap’s thinness, location, pliability, ease of preparation, and number of limitations as well as the lack of hair found in the patients of Asian descent, PMF has been widely used for the reconstruction of head and neck defects, including the ear, cheek, upper and lower lips, oral cavity, and oropharynx [8-12]. The platysma receives most of its blood supply through the submental artery, which is the largest branch of the facial artery, and this muscle also receives blood due to anastomosis of the ipsilateral and contralateral lingual, superior thyroid and inferior labial arteries [13].…”

Section: Discussionmentioning

confidence: 99%

Vertical platysma myocutaneous flap that sacrifices the facial artery and vein

Liu

et al. 2013

World J Surg Onc

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BackgroundPlatysma myocutaneous flap (PMF) is a generally used technique for defect reconstruction after an oral cancer resection. The aim of the study is to present our experience using vertical PMF that sacrificed the facial artery and vein for intraoral reconstruction.MethodsA retrospective review of the medical records of 54 patients who underwent vertical PMF that sacrificed the facial artery and vein for intraoral reconstruction was performed. A comparison between PMF that sacrificed and that preserved the facial vessels was made, and we also compared PMF that sacrificed the facial vessels with radial forearm free flap (RFFF). Statistics concerning the patients’ clinical factors were gathered.ResultsThe mean age of the 54 patients who underwent PMF that sacrificed the facial artery and vein was 62.0 ± 10.98 years. The co-morbid disease rate of PMF was 53.7%. The flap size ranged from 12 × 5.5 cm to 7 × 5 cm. Survival of the flap was found in all of the cases, with partial necrosis in four cases (7.4%) and total loss in none of the cases. The operation time was 5.7 ± 1.17 h. The complication and success rates were 27.8% and 92.6%, respectively. The 3-year and 5-year survival rates were 77.8% (21/27) and 69.23% (9/13), respectively. The majority of the patients (87.0%) in our series were satisfied with the results of the surgery. There was no significant difference between PMF that sacrificed or that preserved the facial vessels, both in success rate (P = 1) or complication rate (P = 0.72). The patients in the PMF group were older than the patients in the RFFF group (P = 0.011), the operation time was shorter (P < 0.001), and the co-morbid disease rate was higher (P = 0.002). Although the complication rate of PMF (15/54, 27.8%) was higher than that of RFFF (2/34, 5.9%) (P = 0.011), their success rates were similar (92.6%, 94.1%) (P = 1.00).ConclusionsVertical PMF that sacrifices the facial artery and vein has specific advantages including in ease preparation and limitations. This technique may provide an effective method for intraoral reconstruction. Our experience in handling the flap may contribute to the success rate.

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Section: Discussionmentioning

confidence: 99%

Vertical platysma myocutaneous flap that sacrifices the facial artery and vein

Liu

et al. 2013

World J Surg Onc

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“…19 The platysma myocutaneous flap was first introduced by Futrell et al in 1978 20 and Coleman et al in 1983 21 for the reconstruction of a variety of head, face and oral defects. 22 Since then, the use of extraoral platysma flaps has only been described rarely. In the literature, the use of a platysma myocutaneous flap for through-and-through closure is not discussed.…”

Section: Discussionmentioning

confidence: 99%

The faciocervicopectoral flap for non-oncological cases of cheek reconstruction

Makkar

2013

annals

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INTRODUCTION Major facial defect has been a challenging case for plastic surgeons in terms of wound healing and covering technique for a long time. METHODS Eight faciocervicopectoral (FCP) flaps were performed for reconstruction of major cheek defects due to handmade explosive and gun injuries. They were evaluated perioperatively and postoperatively with regard to operative time and operative blood loss as well as the function and cosmetic appearance. RESULTS The technique showed marvellous cosmetic results but encountered minor postoperative flap complications. CONCLUSIONS The FCP flap is one of the best solutions for coverage of a simple or complex cheek defect. Application of the FCP flap is easy and rapid.

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“…Reconstruction should be provided to achieve the best cosmetic results, and preserved reasonable function. Platysma myocutaneous flap [18] can be used for limited surface coverage of chin defect, it is more suitable for chin reconstruction due to color and contour, single-stage elevation, minimal donorsite make it more desirable. Although pectoralis major flap and free tissue transfer are either multistage or complex procedure, but in large defect they are provided enough tissue to reestablish the chin area.…”

Section: Discussionmentioning

confidence: 99%

Middle and Lower Face Soft Tissue Reconstruction: A 10-Year Retrospective Study

Wusiman

Tuerxun

Ling

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Retrospectively analyze the reconstruction methods and surgical outcomes of patients with middle and lower face soft tissue defects treated at our hospital over the past 10 years. 200 patients with middle and lower face soft tissue defects were surgically reconstructed at our hospital. Medical charts were retrospectively reviewed and analyzed to abstract the pertinent information. The lesion was mainly at the eyelid, lips, chin and nasal-cheek region. There were 41 (63.08 %) men and 24 (36.92 %) women. In our study, male to female ratio = 1.7:1. We used direct closure for night patients, local flap for 141 patients, free flap for 38 patients, combined flap for 12 patients involving extensive mid face and lower face defects. Most patients had their tumor resected and reconstructed in single stage procedure mostly with local advancement flap, and no flap failure was presented post-operatively. Middle and lower face soft tissue defects can be successfully treated with local flap in a single stage approach and step-by-step approach.

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The need for a complete platysma component for platysma myocutaneous flaps?-an introduction of the expanded cutaneous-dominant platysma flap for facial defect reconstruction

Cited by 10 publications

References 13 publications

Vertical platysma myocutaneous flap that sacrifices the facial artery and vein

Vertical platysma myocutaneous flap that sacrifices the facial artery and vein

The faciocervicopectoral flap for non-oncological cases of cheek reconstruction

Middle and Lower Face Soft Tissue Reconstruction: A 10-Year Retrospective Study

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